Job responsibilities

Are you an experienced Advanced Nurse or Clinical Practitioner passionate about delivering high-quality patient care? Do you thrive in a fast-paced, dynamic healthcare environment? Practice Plus Group is seeking dedicated healthcare professionals to join our Out of Hours team and make a real difference in the community. Practice Plus Group is a leading provider of urgent care services across the UK, committed to delivering safe, effective, and compassionate care to patients when they need it most outside of regular GP hours. For a map of all our locations please Click Here We can offer a range of sessions to allow you to flexibly choose the right shift pattern for you. In OOH we assess and treat patients who require urgent unscheduled intervention suitable for treatment by general practice clinicians when the GP surgeries are closed. Our referrals come from either 111, via a dedicated health care professional line used by paramedics and district nursing teams or from the AED or MIU. Please contact us directly for all contract options.

Qualifications

Essential

• For more information please contact us directly

Desirable

• For more information please contact us directly

Experience

Essential

• For more information please contact us directly

Desirable

• For more information please contact us directly

Additional Criteria

Essential

• For more information please contact us directly

Desirable

• For more information please contact us directly

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

Principle Duties and Responsibilities:

The post-holder will support delivery of the Practice EHCH service in accordance with:

• the current NHS England Network Contract DES;
• the current Enhanced Health in Care Homes framework;
• the Practices agreed care-home operating model;
• the Practice's clinical governance arrangements;
• relevant ICB requirements and local pathways;
• NICE guidance and other national clinical guidance;
• relevant safeguarding, Mental Capacity Act and deprivation of liberty requirements;
• information governance requirements;
• local medicines-management policies;
• relevant CQC requirements and care-home policies; and
• professional standards and regulatory requirements.

The AMP will:

• Participate in scheduled care-home ward rounds as part of the multidisciplinary team and according to the agreed Practice care-home model.
• Work collaboratively with care-home staff to identify residents requiring clinical review, prioritising according to clinical urgency, frailty, risk and agreed care-home processes.
• Contribute to proactive identification of residents at increased risk of deterioration, hospital admission, falls, medication-related harm, malnutrition/dehydration, pressure damage and other significant health risks.
• Contribute to personalised care and support planning, ensuring that the resident's wishes, preferences, capacity, communication needs, clinical needs and goals are considered.
• Support timely clinical assessment of new or returning care-home residents and contribute to the Practice's arrangements for comprehensive assessment and personalised care planning following admission/readmission.
• Review and update care plans where there is a significant change in clinical circumstances.
• Work with the wider MDT to identify appropriate interventions and services that enable residents to remain safely within the care-home environment wherever appropriate.
• Participate in MDT discussions and case conferences for residents with complex or changing needs.
• Support effective communication between the care home, Practice, community services, secondary care, pharmacy, social care and other relevant agencies.
• Contribute to service evaluation, audit, quality improvement and monitoring of EHCH activity and outcomes.

The current national framework emphasises integrated working between primary care, community health, social care and care homes, with personalised care and support at the centre of the model.

Qualifications

Essential

• Current professional registration appropriate to the AMP profession.
• Relevant advanced clinical qualification at postgraduate level or demonstrable equivalent advanced-practice capability.
• Evidence of advanced clinical assessment and decision-making competence.
• Evidence of ongoing professional development.
• Appropriate prescribing qualification where prescribing is a requirement of the post.
• Appropriate training and competence in phlebotomy.
• Evidence of competence in relevant clinical observations and investigations.
• Current mandatory training appropriate to the role.
• Appropriate professional indemnity/insurance arrangements.

Desirable

• Advanced practice MSc or equivalent.
• Independent prescribing qualification.
• Advanced assessment qualification.
• Non-medical prescribing qualification where applicable.
• Relevant care-of-the-elderly/frailty qualification.
• Palliative/end-of-life care training.
• Dementia training.
• Leadership qualification.
• Relevant safeguarding qualification/training.

Skills and Competency

Essential

• The post-holder must demonstrate the ability to:
• undertake advanced clinical assessment;
• make safe autonomous clinical decisions;
• recognise clinical deterioration;
• manage acute clinical presentations;
• manage long-term conditions;
• interpret clinical investigations;
• undertake phlebotomy;
• perform routine observations;
• formulate differential diagnoses;
• develop management plans;
• initiate appropriate treatment within scope;
• make appropriate referrals;
• safety-net patients and care staff;
• communicate complex clinical information clearly;
• work effectively within an MDT;
• manage competing clinical priorities;
• maintain accurate clinical records;
• use electronic clinical systems;
• manage clinical risk;
• escalate appropriately;
• demonstrate sound clinical judgement; and
• work effectively in a care-home environment.

Communication

Essential

• Excellent verbal and written communication skills.
• Ability to communicate effectively with older people and people with cognitive impairment.
• Ability to communicate with relatives and carers sensitively.
• Ability to communicate with care-home staff at all levels.
• Ability to manage difficult or sensitive conversations.
• Ability to explain clinical information clearly.
• Ability to negotiate and influence appropriately.
• Ability to work constructively across organisational boundaries.
• Demonstrable commitment to compassionate and person-centred care.

Clinical Knowledge

Essential

• Good working knowledge of:
• acute illness in older people;
• frailty;
• multimorbidity;
• long-term condition management;
• dementia and delirium;
• falls;
• nutrition and hydration;
• medicines safety;
• polypharmacy;
• safeguarding;
• Mental Capacity Act;
• consent;
• advance care planning;
• palliative and end-of-life care;
• appropriate referral pathways;
• infection prevention and control;
• clinical governance;
• patient safety;
• evidence-based practice; and
• relevant NICE and national guidance.

Desirable

• Knowledge of:
• Enhanced Health in Care Homes;
• Network Contract DES requirements;
• primary care contractual arrangements;
• care-home clinical governance;
• community services;
• admission avoidance pathways;
• virtual wards;
• urgent community response;
• integrated care systems;
• shared care records; and
• care-home quality and regulatory requirements.

Experience

Essential

• Significant post-registration clinical experience.
• Experience of autonomous clinical assessment and decision-making.
• Experience of managing patients with acute illness.
• Experience of managing patients with multiple long-term conditions.
• Experience of working with older people and/or people with frailty and complex needs.
• Experience of multidisciplinary working.
• Experience of clinical risk assessment and escalation.
• Experience of interpreting clinical investigations.
• Experience of making or supporting appropriate referrals.
• Experience of maintaining high-quality clinical records.
• Experience of working within clinical governance arrangements.
• Experience of recognising deterioration and acting appropriately.

Desirable

• Experience working in general practice.
• Experience working in care homes.
• Experience undertaking care-home ward/home rounds.
• Experience of proactive care planning.
• Experience of admission avoidance.
• Experience of frailty assessment.
• Experience of palliative/end-of-life care.
• Experience of medicines optimisation/polypharmacy.
• Experience of quality improvement or clinical audit.
• Experience of teaching care-home or healthcare staff.

Leadership and Teamwork

Essential

• Demonstrable ability to work effectively as part of an MDT.
• Ability to work autonomously while recognising the need for escalation.
• Ability to provide clinical leadership within scope of practice.
• Ability to support colleagues and care-home staff.
• Ability to contribute to service improvement.
• Ability to manage clinical priorities safely.
• Ability to work collaboratively with primary, community and secondary care.
• Commitment to shared decision-making.

Personal Qualities

Essential

• The successful candidate will demonstrate:
• professional integrity;
• compassion;
• reliability;
• resilience;
• initiative;
• accountability;
• sound judgement;
• adaptability;
• commitment to patient safety;
• commitment to equality and inclusion;
• commitment to continuous learning;
• ability to work under pressure;
• ability to recognise personal limitations;
• commitment to collaborative working; and
• a proactive approach to improving care for care-home residents.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

See attached Job Description.

Provide comprehensive primary care services to a diverse patient population, including assessment, diagnosis, treatment, and ongoing management of acute and chronic medical conditions. Prescribe medications appropriately, and make referrals to secondary care and community services when required. Maintain accurate and timely clinical records using electronic patient record systems. Participate in multidisciplinary team working, clinical meetings, safeguarding activities, quality improvement initiatives, and practice development.

Fixed term contract ending 31st March 2027, 2 sessions per week.

Qualifications

Essential

• - Fully qualified GP with current General Medical Council (GMC) registration and license to practice
• - Strong commitment to patient-centred care and clinical excellence
• - Excellent communication and interpersonal skills with patients, colleagues and wider healthcare teams

Desirable

• - Local Knowledge & Enhanced Skills
• - Familiarity with local referral pathways, community services and prescribing formularies
• - Experience managing digital workflows efficiently including processing pathology results, clinical correspondence and repeat prescriptions

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).